Yana Samarasena, MD | |
11100 Warner Ave, #252, Fountain Valley, CA 92708-7506 | |
(714) 241-1777 | |
Not Available |
Full Name | Yana Samarasena |
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Gender | Female |
Speciality | Allergy & Immunology |
Location | 11100 Warner Ave, Fountain Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164683678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A99671 (California) | Secondary |
207K00000X | Allergy & Immunology | A99671 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Yana Samarasena, MD 11100 Warner Ave, #252, Fountain Valley, CA 92708-7506 Ph: () - | Yana Samarasena, MD 11100 Warner Ave, #252, Fountain Valley, CA 92708-7506 Ph: (714) 241-1777 |
Ellen Nadine Reich, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 11180 Warner Ave, Suite 255, Fountain Valley, CA 92708 Phone: 714-549-9330 | |
Bruce F Friedman, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 11180 Warner Ave, Suite 255, Fountain Valley, CA 92708 Phone: 714-549-9330 Fax: 714-549-9553 |